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Esophageal involvement in pemphigoid is rare. Review of 32 cases of pemphigoid seen at West Virginia University Hospital between January 1970 and December 1980 revealed 3 patients with esophageal involvement. These cases and review of reported cases of bullous and mucous membrane pemphigoid showed distinct radiographic features of esophageal involvement. These were diffuse inflammatory changes, adhesions, transverse and circumferential webs, and various sizes of strictures. Symptoms of dysphagia may precede radiographic findings by several months or years.

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